NPI 1003241803

Randall Berwin Pettit, LMSW

Practitioner Social Worker Tucson, AZ

Practice location

Address: 6700 N Oracle Rd STE 505, Tucson, AZ 85704-7736
Phone: (520) 791-9974
Fax: (520) 791-0676

Registered specialties (2)

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence LMSW-13458 (AZ)

Other Social Worker providers in Arizona →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 071208 (NY)

Registry record

NPI: 1003241803
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Sep 2013
Record last updated: 11 Sep 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.